| Doctor Name: | MR. ROBERT PERKINS |
| NPI Number: | 1073937181 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISW-S |
| License Number: | I. 0900180-SUPV |
| Business Practice Address: | 4075 Old Western Row Rd Mason, OH - 450403104 |
| Business Phone Number: | 5138034911 |
| Business Fax Number: | 5138034901 |
| Mailing Address: | 4075 Old Western Row Rd, MASON |
| State: | OH |
| Postal Code: | 450403104 |
| Phone Number: | 5138034911 |
| Fax Number: | 5138034901 |
| NPI Enumeration Date: | 02/10/2014 |
| NPI Last Update Date: | 02/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I. 0900180-SUPV |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |